“14.1 …in sections 11 and 12 of this Act references to a person’s date of knowledge are references to the date on which he first had knowledge of the following facts— (a) that the injury in question was significant; and (b)that the injury was attributable in whole or in part to the act or omission which is alleged to constitute negligence, nuisance or breach of duty; and (c)the identity of the defendant; and (d)if it is alleged that the act or omission was that of a person other than the defendant, the identity of that person and the additional facts supporting the bringing of an action against the defendant; and knowledge that any acts or omissions did or did not, as a matter of law, involve negligence, nuisance or breach of duty is irrelevant. (2)For the purposes of this section an injury is significant if the person whose date of knowledge is in question would reasonably have considered it sufficiently serious to justify his instituting proceedings for damages against a defendant who did not dispute liability and was able to satisfy a judgment. (3)For the purposes of this section a person’s knowledge includes knowledge which he might reasonably have been expected to acquire— (a) from facts observable or ascertainable by him; or (b)from facts ascertainable by him with the help of medical or other appropriate expert advice which it is reasonable for him to seek; but a person shall not be fixed under this subsection with knowledge of a fact ascertainable only with the help of expert advice so long as he has taken all reasonable steps to obtain (and, where appropriate, to act on) that advice.”
"1. The question is whether someone who has been negligently exposed to asbestos in the course of his employment can sue his employer for damages on the ground that he has developed pleural plaques. These are areas of fibrous thickening of the pleural membrane which surrounds the lungs. Save in very exceptional cases, they cause no symptoms. Nor do they cause other asbestos-related diseases. But they signal the presence in the lungs and pleura of asbestos fibres which may independently cause life-threatening or fatal diseases such as asbestosis or mesothelioma. In consequence, a diagnosis of pleural plaques may cause the patient to contemplate his future with anxiety or even suffer clinical depression. 2. Proof of damage is an essential element in a claim in negligence and in my opinion the symptomless plaques are not compensatable damage. Neither do the risk of future illness or anxiety about the possibility of that risk materialising amount to damage for the purpose of creating a cause of action, although the law allows both to be taken into account in computing the loss suffered by someone who has actually suffered some compensatable physical injury and therefore has a cause of action. In the absence of such compensatable injury, however, there is no cause of action under which damages may be claimed and therefore no computation of loss in which the risk and anxiety may be taken into account. It follows that in my opinion the development of pleural plaques, whether or not associated with the risk of future disease and anxiety about the future, is not actionable injury. The same is true even if the anxiety causes a recognised psychiatric illness such as clinical depression. The right to protection against psychiatric illness is limited and does not extend to an illness which would be suffered only by an unusually vulnerable person because of apprehension that he may suffer a tortious injury. The risk of the future disease is not actionable and neither is a psychiatric illness caused by contemplation of that risk."
"The requisite knowledge that the Claimant needed to have was that he had asbestosis. That he believed that pleural plaques gave him a cause of action is not, because of Rothwell, requisite knowledge. That he feared that the pleural plaques, the cough and crepitations might be indications of asbestosis does not constitute the requisite knowledge."
"17 January 2002 Dr Deirdre Rorke Problem: dry cough one year but worse more recently with head [GMS] cold. No previous problems with chest, stopped smoking 40 years ago, shortage of breath on exercise but able to climb two flights of stairs comfortably, no shortage of breath at rest, no chest pain, no loss of appetite, loss of weight, sinister symptoms."
"Chest fine, by basel crepitations, no oedema."
"Pleural plaques due to asbestos. On examination few fine crepitations that are base, right base, left clear, nil else for spirometric."
"[Dr Dracass again]: dry cough, patient's condition the same apart from GMS pleural plaques (inaudible) NAD chest now clear."
"Problem pleural plaques on CXR (asbestos exposure). Patient given advice on possible compensation."
"This shows a normal sized heart. The lung fields are clear but there is evidence of discreet pleural plaques in both hemithoracesconsistent with those caused by previous asbestos exposure. There is otherwise no evidence of pleural thickening or pleural fusion."
"16.1 Asbestos related pleural plaques. 16.2 Possible early asbestosis."
"Although there is no evidence of asbestosis on plain chest x-ray this is not a particularly sensitive screening modality for asbestosis. His clinical examination findings of bilateral crepitations in the lung bases also his lung function defects would suggest that there may be underlying mild asbestosis. This would be borne out by a more detailed cross-sectional radiological investigations such as a CT scan."
"The scan confirms widespread bilateral pleural plaques which are mostly calcified and many of them quite florid up to 10 mm in thickness. Between plaques there is no diffuse pleural thickening and no pleural effusions. Additionally there are well marked changes of interstitial pulmonary fibrosis in the lower zones. This consists of patches of subpleural honeycombing and mild localised traction bronchiectasis. These findings would be consistent with asbestosis. This therefore changes the prognosis section in 20.3 which should now read that there is evidence of asbestosis on the CT scan of the thorax which confirms the lung function deficit and suggests mild underlying asbestosis."
"I am not satisfied that on20 February 2002 it was clear to the claimant's GP that the claimant had an asbestos-caused injury. The bibasal crepitations and cough could be symptoms of asbestosis. The presence of pleural plaques in February 2002 would then have been considered to be an injury for which compensation could be claimed. That the presence of pleural plaques could not be an actionable injury was not known until the Court of Appeal decision in Rothwell on26 January 2006 . 52. In my judgment Dr Marshall's assessment of the presence of asbestosis in paragraph 20.3 of his first report dated11 July 2005 cannot be challenged. A CT scan needs to be before positive diagnosis of asbestosis can be made."
"Can you also please note here when you first started experiencing problems with your chest and when did you realise you could make a claim for your injuries?"
"A persistent cough, which did not improve led me to seek advice from my GP. GP referred me for chest X-ray at Royal South Hants hospital. The results of the X-ray in Feb 02 revealed Pleural Plaques and informed of this by GP. Realised possible to make claim for an advert in Southern Echo October 18th 2002."
"Can you also say when you went to the doctor and whether he gave you any information regarding your condition. What made you decide to claim?"
"Revealed Pleural Plaques from X-ray but no more information given by GP in Feb 02. From information gained by contacting Free Claim IDC and from attending an advice session held by IDC in Eastleigh Hants IDC - Industrial Diseases Claim [that is a reference I think to a claim he made for industrial diseases in fact it was rejected because the doctor there concluded he did not suffer from asbestosis]."
"19. It was only a couple of years ago that I started experiencing problems with my chest. I noticed that I had a persistent cough which did not seem to improve. This led me to visit my GP, who then referred me to the Royal South Hants Hospital for a chest X-ray. This x-ray was taken in February 2002. The results revealed that I had pleural plaques and it was my GP who informed me of this however I was not aware I could claim at this point as my GP never mentioned the legal implications of having pleural plaques so I was very much in the dark."
"I first realised it was possible to claim for my condition in October 2002."
"I saw an advert in the Southern Echo in October 2002 […] and this highlighted that it was possible to claim for pleural plaques and having struck that out it reads which prompted me to contact Free Claim IDC."
"I recall that on20 February 2002 I attended my General Practitioner in connection with an ongoing problem, which I had been living with in my chest. These problems had been ongoing for some months previously and my Doctor had discussed the possibility that I was suffering from Pleural Plaques and Asbestosis as a result of my employment. 2. Although I can't recall any details of the discussions I had on 20 February, it is quite clear from the entries in my medical notes and records that I was advised by Dr Dracoss that following an earlier consultation on12 February 2002 and an asbestosis review that I was advised to seek legal advice with a view to obtaining compensation for my condition."
"In evidence, the Claimant said that on 20 February, 2002, he was told he had pleural plaques and should make a claim. He said that his original action had gone very quiet he was later told that there was no compensating for pleural plaques. He was sure if the diagnosis of asbestosis came before or after the CT scan in November 2005."
"And when was the first time you were told that you had an industrial disease? Mr Preston: When I visited my GP in … after… Mr Nicol: When he told you had pleural plaques. Mr Preston: He did. Mr Nicol: He couldn’t tell you you had asbestosis, could he? Mr Preston: Well he said it was, I had pleural plaques as I had been exposed to asbestosis [which I think must mean asbestos] at some time during my professional … Mr Nicol: In fact he couldn’t… Recorder Lodge QC: Let him finish his answers. Mr Nicol: In fact he couldn’t tell you for sure you had pleural plaques until he’d seen the X-ray that he sent you for. Mr Preston: Yes (inaudible). Mr Nicol: And you saw another physician shortly thereafter didn’t you, a chest specialist? [I omit some cross examination] Mr Nicol: Do you recall having CT scan in November 2005? Mr Preston: Oh yes. Yes. Mr Nicol: It is correct to say though, it was only after that CT scan that you were advised you had asbestosis? Mr Preston: It’s true to say that [Dr Dracass] has said that I had been exposed to asbestos, but it’s a job to say really, I don't know when that was… when [Dr Dracass] has said I’ve been exposed to asbestos, Sir, there was some wondering if I did have anything else of the complaint but it was sort of confirmed and I went to see Dr Marshall yes. Mr Nicol: Well it wasn’t confirmed the first time you went to see Dr Marshall was it, because he said in his report and we can look at it if you like, that he thought you might have asbestosis, but he couldn’t confirm it until you’d had a CT scan. Mr Preston: Yes I think I went for a scan after I first met him."
"In my view, the wording of section 32A is consistent only with the proposition that a claimant has only one cause of action for all personal injury consequences of a wrongful act or omission. The wording of the section is not consistent with the notion that the same exposure to asbestos can and does give rise to separate torts in respect of each consequence. Because he has only one cause of action, as soon as the claimant knows that he has one personal injury consequence, he must sue for all such possible consequences. Under section 32A, he is able to defer the assessment of that part of his damages which relate to future risks, instead of having to accept them now, imperfectly assessed, as he was required to do at common law. Whether he chooses a provisional or final award is a matter for him."
“I am not attracted by the other reasons of policy that led the majority in the Court of Appeal to the conclusion that it was undesirable that the development of pleural plaques should give rise to a cause of action”
"I would hold however that there is no cause of action because the pleural plaques in themselves do not give rise to any harmful physical effects which can be said to constitute damage and because of the absence of a direct causative link between them and the risks and the anxiety of which on their own are not actionable. I would apply the same proposition for the purposes of the limitation rules. Time has not yet begun to run against any of the claimants who may have the misfortune of developing asbestosis, asbestos related disease in the future which is actionable."
"You ask what the claimant knew about the injury he had suffered, you add any knowledge about the injury which may be imputed to him under section 14(3) and you then ask whether a reasonable person with that knowledge would have considered the injury sufficiently serious to justify his instituting proceedings for damages."